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Investigation and treatment of faecal incontinence

Gardiner, A.; Maslekar, S; Gardiner, Anji; Maklin, C.; Duthie, G. S.

Authors

A. Gardiner

S Maslekar

Anji Gardiner A.B.Gardiner@hull.ac.uk

C. Maklin

G. S. Duthie G.S.Duthie@hull.ac.uk



Abstract

Faecal incontinence is a debilitating condition affecting people of all ages, and significantly impairs quality of life. Proper clinical assessment followed by conservative medical therapy leads to improvement in more than 50% of cases, including patients with severe symptoms. Patients with advanced incontinence or those resistant to initial treatment should be evaluated by anorectal physiology testing to establish the severity and type of incontinence. Several treatment options with promising results exist. Patients with gross sphincter defects should undergo surgical repair. Those who fail to respond to sphincteroplasty and those with no anatomical defects have the option of either sacral nerve stimulation or other advanced procedures. Stoma formation should be reserved for patients who do not respond to any of the above procedures.

Citation

Maslekar, S., Gardiner, A., Maklin, C., & Duthie, G. S. (2006). Investigation and treatment of faecal incontinence. Postgraduate Medical Journal, 82(968), 363-371. doi:10.1136/pgmj.2005.044099

Journal Article Type Article
Acceptance Date Feb 7, 2006
Online Publication Date Jun 5, 2006
Publication Date Jun 30, 2006
Journal Postgraduate medical journal
Print ISSN 0032-5473
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 82
Issue 968
Pages 363-371
DOI https://doi.org/10.1136/pgmj.2005.044099
Keywords Faecal incontinence
Public URL https://hull-repository.worktribe.com/output/428924
PMID 16754704